社区骨质疏松患者饮食行为及健康管理策略

发布时间：2018-03-18 23:32

本文选题：骨质疏松　切入点：饮食行为　出处：《中国骨质疏松杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的分析社区骨质疏松患者饮食行为及影响因素,提出有针对性的健康管理策略。方法 2016年5月在解放军第309医院医联体所属的8个社区随机选择160例(每社区20例)电子健康档案登记患有骨质疏松症的患者,采用现场发放问卷的方式进行调查。项目包括骨质疏松患者饮食行为、骨质疏松患者独立生活能力、骨质疏松患者家庭关怀度、健康饮食知晓程度、社会支持度。采用多元回归方法进行统计学处理,P0.05为差异有统计学意义。结果回收有效问卷131份,有效回收率81.88%。多元回归结果显示,工具性日常生活能力、家庭关怀度、社会支持度、健康饮食知晓率偏回归系数差异有统计学意义(P0.05)。食物选择主要考虑"便利原则""是否新鲜";食物制作存在食用"剩饭剩菜""过保质期食物"现象;饮食偏好"豆制品""深色蔬菜",较少食用"奶制品""海鲜"。结论骨质疏松患者的饮食行为依从性并不乐观。需要根据社区居民的饮食习惯,制定可操作性的、个体化的健康食谱和直观的饮食指导卡片。建立符合骨质疏松患者活动能力和饮食需求的社区副食供应网络。开展骨质疏松社区健康指导,定期进行家庭关怀度评估,提供延伸服务,保证骨质疏松患者饮食均衡。
[Abstract]:Objective to analyze the dietary behavior and influencing factors of osteoporosis patients in community. Methods 160 patients (20 cases per community) with osteoporosis were randomly selected from 8 communities of PLA 309 Hospital in May 2016. The items include diet behavior of patients with osteoporosis, independent living ability of patients with osteoporosis, family care degree of patients with osteoporosis, knowledge of healthy diet, etc. Results 131 effective questionnaires were collected, and the effective recovery rate was 81.88. The multiple regression results showed that instrumental daily life ability, family care, and family care were significant. There were significant differences in the degree of social support and the partial regression coefficient of the awareness rate of healthy diet (P 0.05). The main consideration of food selection was "convenience principle" (whether it was fresh or not), the phenomenon of eating "leftover food" and "food beyond shelf life" existed in food production. Diet preference for "bean products" and "dark vegetables", less consumption of "dairy products" and "seafood". Conclusion\\\;\\\;\\\; Individualized health diet and intuitive dietary guidance cards. Establish community non-staple food supply network that meets the activity and dietary needs of patients with osteoporosis. Develop osteoporosis community health guidance, regularly evaluate family care, Provide extension services to ensure a balanced diet for patients with osteoporosis.
【作者单位】：解放军第309医院骨科中心;解放军第309医院外联办;
【分类号】：R580

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